Ideal Labs, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

0003305 Issued in NJ

Legal business name

IDEAL LABS, LLC

Practice address

307 Hamburg Tpke
Wayne, NJ 07470-2142

Phone

(973) 956-3589

Fax

(975) 720-5733

NPI assigned

Sep 23, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jose D. Espinal-Mariotte, M.D.

Title

President

Phone

(973) 956-3589

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1467602805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 144333",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328144333",
            "telephone_number": "407-422-9831",
            "fax_number": "407-648-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 HAMBURG TPKE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702142",
            "telephone_number": "973-956-3589",
            "fax_number": "975-720-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL LABS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "ESPINAL-MARIOTTE",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-956-3589",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NJ",
            "license": "0003305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Hyson, LMFT
• Mary M Iannotti, PH.D.
• Amal Ibrahim, APRN, FNP-BC
• Nedzmi Ibraimi
• Icaredoula Childbirth and Postpartum Services
• Ideal Pathology Associates, LLC
• Ignite Rehab Corp (Ignite Rehab)
• Imaging Associates PA (MRImaging of Wayne)
• Imaging Center Montville LLC Wayne Radiology Center (Wayne Radiology Center)
• Imdad LLC

• Clinical Medical Laboratory in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Clinical Medical Laboratory in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.